Skip to content
Nonprofiteer
← CHESHIRE MEDICAL CENTER

Form 990 for tax year 2023

Filed by CHESHIRE MEDICAL CENTER.

Totals

Total revenue
$307,906,797
Total expenses
$312,590,986
Contributions and grants received
$10,679,183
Grants paid
$369,917
Program services expenses (Part IX)
$280,597,429
Management and general expenses
$31,361,799
Fundraising expenses
$631,758
Program service expenses (Part III)
$280,597,429

Program services were 89.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Barbara Duckett

    Trustee/Secretary (through 1/24)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Joseph L Perras MD

    Trustee/CEO/President ex-officio (as of 8/7/23)

    Total calculated
    $654,647
    From this org
    $0
    From related orgs
    $620,829
    Other
    $33,818
    Hours/week
    40 + 1.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $448,299 related
    Bonus
    $0 + $128,661 related
    Other
    $0 + $43,869 related
    Deferred
    $0 + $29,445 related
    Nontaxable benefits
    $0 + $4,373 related
    Filer's total
    $0 + $654,647 related

  • KATHRYN F WILLBARGER

    COO /Trustee and Interim CEO (through 8/6/23)

    Total calculated
    $414,131
    From this org
    $380,067
    From related orgs
    $0
    Other
    $34,064
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $354,376
    Bonus
    $7,570
    Other
    $18,121
    Deferred
    $31,590
    Nontaxable benefits
    $2,474
    Filer's total
    $414,131

  • Les Pitts MD

    Trustee/Ex-Officio Med. Staff Pres

    Total calculated
    $364,536
    From this org
    $0
    From related orgs
    $292,890
    Other
    $71,646
    Hours/week
    0.5 + 40.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $292,116 related
    Bonus
    $0
    Other
    $0 + $774 related
    Deferred
    $0 + $28,590 related
    Nontaxable benefits
    $0 + $43,056 related
    Filer's total
    $0 + $364,536 related

  • Mark Bodin

    Trustee / Treasurer

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • MARK GAVIN

    TRUSTEE / Vice Chair (through12/31/23) / Chair (as of 1/1/24)

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • SUSAN ABERT

    TRUSTEE / Chair (through 12/31/23)

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • ANDREW G TREMBLAY MD

    TRUSTEE

    Total calculated
    $378,390
    From this org
    $0
    From related orgs
    $311,879
    Other
    $66,511
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $309,966 related
    Bonus
    $0
    Other
    $0 + $1,913 related
    Deferred
    $0 + $30,132 related
    Nontaxable benefits
    $0 + $36,379 related
    Filer's total
    $0 + $378,390 related

  • Cherie Holmes MD

    Trustee

    Total calculated
    $505,594
    From this org
    $0
    From related orgs
    $454,795
    Other
    $50,799
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $401,569 related
    Bonus
    $0 + $11,229 related
    Other
    $0 + $41,997 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $19,209 related
    Filer's total
    $0 + $505,594 related

  • Daniel Smith

    Trustee / Vice Chair (as of 1/20/23)

    Total calculated
    $0
    Hours/week
    0.5

  • Elizabeth Cotter

    Trustee/Secretary (as of 1/24)

    Total calculated
    $0
    Hours/week
    0.5 + 1 related

  • Gina OBrien MD

    Trustee (as of 1/20/23)

    Total calculated
    $437,348
    From this org
    $0
    From related orgs
    $410,980
    Other
    $26,368
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $410,314 related
    Bonus
    $0
    Other
    $0 + $666 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $6,568 related
    Filer's total
    $0 + $437,348 related

  • Maria Padin MD

    TRUSTEE / CGP Chief Medical Officer

    Total calculated
    $628,700
    From this org
    $0
    From related orgs
    $560,847
    Other
    $67,853
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $484,606 related
    Bonus
    $0 + $35,700 related
    Other
    $0 + $40,541 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $36,263 related
    Filer's total
    $0 + $628,700 related

  • Michael Chelstowski

    Trustee

    Total calculated
    $0
    Hours/week
    0.5

  • Michael Farhm

    Trustee

    Total calculated
    $0
    Hours/week
    0.5

  • Michael Waters

    Trustee / DH Treasurer

    Total calculated
    $335,403
    From this org
    $0
    From related orgs
    $311,063
    Other
    $24,340
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $285,002 related
    Bonus
    $0 + $19,950 related
    Other
    $0 + $6,111 related
    Deferred
    $0 + $23,033 related
    Nontaxable benefits
    $0 + $1,307 related
    Filer's total
    $0 + $335,403 related

  • Robert Palmer

    Trustee (as of 1/1/24)

    Total calculated
    $0

  • Stephen Leblanc

    Trustee

    Total calculated
    $984,376
    From this org
    $0
    From related orgs
    $918,361
    Other
    $66,015
    Hours/week
    0.5 + 42.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $686,348 related
    Bonus
    $0 + $122,500 related
    Other
    $0 + $109,513 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $34,425 related
    Filer's total
    $0 + $984,376 related

  • Susan Howard

    Trustee (through 1/31/24)

    Total calculated
    $0
    Hours/week
    0.5

  • Tim Ruehr

    Trustee (through 12/31/23)

    Total calculated
    $0
    Hours/week
    0.5

  • Anne Tyrol

    Chief Nursing Officer

    Total calculated
    $265,668
    From this org
    $224,304
    From related orgs
    $0
    Other
    $41,364
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $218,284
    Bonus
    $5,750
    Other
    $270
    Deferred
    $14,145
    Nontaxable benefits
    $27,219
    Filer's total
    $265,668

  • AnnMarie Coppo

    Interim CFO (as of 5/3/24)

    Total calculated
    $182,025
    From this org
    $133,274
    From related orgs
    $0
    Other
    $48,751
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $127,213
    Bonus
    $355
    Other
    $5,706
    Deferred
    $9,965
    Nontaxable benefits
    $38,786
    Filer's total
    $182,025

  • Daniel Gross

    Chief Financial Officer (through 5/2/24)

    Total calculated
    $334,924
    From this org
    $290,020
    From related orgs
    $0
    Other
    $44,904
    Hours/week
    40 + 1.5 related

    Schedule J breakdown matched by us

    Base
    $281,572
    Bonus
    $7,260
    Other
    $1,188
    Deferred
    $17,854
    Nontaxable benefits
    $27,050
    Filer's total
    $334,924

  • ERLI CHEN

    PHYSICiST

    Total calculated
    $301,184
    From this org
    $259,554
    From related orgs
    $0
    Other
    $41,630
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $239,412
    Bonus
    $0
    Other
    $20,142
    Deferred
    $23,832
    Nontaxable benefits
    $17,798
    Filer's total
    $301,184

  • Kevin Forrest

    VP Facilities & Support Services

    Total calculated
    $184,011
    From this org
    $170,156
    From related orgs
    $0
    Other
    $13,855
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,425
    Bonus
    $0
    Other
    $12,731
    Deferred
    $12,408
    Nontaxable benefits
    $1,447
    Filer's total
    $184,011

  • Lisa Hanamoto

    RN Baylor-WN-IP/PRCD

    Total calculated
    $185,373
    From this org
    $162,732
    From related orgs
    $0
    Other
    $22,641
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,555
    Bonus
    $0
    Other
    $1,177
    Deferred
    $11,064
    Nontaxable benefits
    $11,577
    Filer's total
    $185,373

  • Matthew Borden

    Pharmacist

    Total calculated
    $191,158
    From this org
    $179,218
    From related orgs
    $0
    Other
    $11,940
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $174,078
    Bonus
    $5,000
    Other
    $140
    Deferred
    $11,064
    Nontaxable benefits
    $876
    Filer's total
    $191,158

  • SANDRA M PHIPPS

    VP PHILANTHROPY/COMM RELATIONS

    Total calculated
    $196,523
    From this org
    $165,844
    From related orgs
    $0
    Other
    $30,679
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $164,870
    Bonus
    $0
    Other
    $974
    Deferred
    $12,669
    Nontaxable benefits
    $18,010
    Filer's total
    $196,523

  • David Quigley

    Former Key / VP - Clinical Operations (through 3/7/23)

    Total calculated
    $168,665
    From this org
    $0
    From related orgs
    $162,207
    Other
    $6,458
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $81,464 related
    Bonus
    $0
    Other
    $0 + $80,743 related
    Deferred
    $0 + $5,751 related
    Nontaxable benefits
    $0 + $707 related
    Filer's total
    $0 + $168,665 related

  • DON CARUSO MD

    FORMER CEO/PRESIDENT

    Total calculated
    $248,889
    From this org
    $0
    From related orgs
    $229,871
    Other
    $19,018
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $185,732 related
    Bonus
    $0
    Other
    $0 + $44,139 related
    Deferred
    $0 + $16,578 related
    Nontaxable benefits
    $0 + $2,440 related
    Filer's total
    $0 + $248,889 related

  • JENNIFER L DINUBILA DO

    Former Med Staff Pres.

    Total calculated
    $450,199
    From this org
    $0
    From related orgs
    $395,755
    Other
    $54,444
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $370,962 related
    Bonus
    $0
    Other
    $0 + $24,793 related
    Deferred
    $0 + $24,990 related
    Nontaxable benefits
    $0 + $29,454 related
    Filer's total
    $0 + $450,199 related

  • Michael Ormont MD

    Former Medical Staff Pres.

    Total calculated
    $408,467
    From this org
    $0
    From related orgs
    $370,461
    Other
    $38,006
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $308,001 related
    Bonus
    $0
    Other
    $0 + $62,460 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $6,416 related
    Filer's total
    $0 + $408,467 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
THE CEO IS PAID BY DARTMOUTH-HITCHCOCK CLINIC, A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
Dartmouth Hitchcock Clinic (DHC) sponsors a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable DHC to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen to new participants in 1998. THE FOLLOWING INDIVIDUAL HAS A SPLIT DOLLAR LIFE PLAN ARRANGEMENT AND RESPECTIVE EMPLOYER PREMIUM: STEPHEN LEBLANC $68,044

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202531339349302163

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.